MRS. Jill Renee Van Dyke, LPC-A

NPI #1962173005 in Prosper, Texas

Provider Information

NPI Number: 1962173005
Entity Type: Individual
Name: MRS. Jill Renee Van Dyke, LPC-A
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC-A
Enumeration Date: Sep 27, 2021
Last Updated: Sep 27, 2021

Practice Location

Address: 161 W 3RD ST STE 100
City: Prosper
State: Texas
ZIP Code: 75078-2906
Phone: (214) 618-8402

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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